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EBM question suggestion

Discussion in 'Clinical Rotations' started by ericdamiansean, Apr 12, 2007.

  1. ericdamiansean

    ericdamiansean High Profiler 7+ Year Member

    Jun 25, 2003
    I need some suggestions on this.
    A 21 year old primigravida at term, presented with uterine contractions, leaking liquor, bloody show. After about a day, her CTG tracing showed early deceleration which did not resolve after an hour, and cervical os was abrupted at 4 cm. An emergency cesarean was done for fetal distress, mother and child are currently well.
    Anyone can suggest any evidence based questions to ask? Other than those on cesarean section.
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  3. Bertelman

    Bertelman Maverick! 7+ Year Member

    Feb 11, 2006
    Had a Cooch
    What was she drinking?
  4. Hard24Get

    Hard24Get The black sleepymed 7+ Year Member

    Well, here is one question I would be interested in hearing evidence for, if that's what you mean:

    Under what circumstances has electronic fetal monitoring been shown to improve maternal/fetal outcomes?

    Not sure what you are trying to do, though...
  5. ericdamiansean

    ericdamiansean High Profiler 7+ Year Member

    Jun 25, 2003
    Rupture of membrane:p

    That's a pretty good question. What I meant was asking a question, any question based on the case, which was to be answered by literature review.

    For example, some questions which one could ask (in regards to the above case):
    1) What are the maternal and perinatal outcomes in a trial of vaginal delivery after a Cesarean?
    2) What is the significance of an early deceleration?
  6. oldbearprofessor

    oldbearprofessor Administrator Rocket Scientist Physician Faculty SDN Advisor 10+ Year Member

    Mar 13, 2002
    1. What evaluation should have been done related to infection? Depending on the results and if the ROM was prolonged, how should the mother and baby been evaluated and treated?

    2. What are the risks and benefits of augmentation of labor in the circumstance in which she presented to the hospital?

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